论文部分内容阅读
患者郭××、女、55岁,1976年11月21日晚12时50分许,由其二子背负护送来我附院内科急诊室急救。子代述病史如下:就诊当日下午患者将买来的五个“华山参”(约一两多),煎成参汤一碗(约600毫升),10时左右一次温服半碗(约300毫升)以作补养之用,但服后不久即出现口干,口腔出血、昏迷、抽搐,急到某医院就诊,因系中草药中毒,未做处理即转我院附院治疗。查体:患者面呈淡紫红色,两目紧闭,两眦可见干粉样白包分泌物,口唇干燥,皲裂多处,口周满布干血痂及干粉样物;神志呈浅昏迷状态,偶见躁动,不时谵语,吐词不清,上肢屈曲难伸,牙关稍紧,强行撬开少许,见口舌干燥,多处有干血及白色粉样物质四布;两侧瞳孔等大、园,直径约5毫米,对光反射反
Patient Guo ××, female, 55 years old, at 12:50 pm on November 21, 1976, the two sons carried an escort to the Emergency Department of the Department of Internal Medicine of our Affiliated Hospital. The medical history of the offspring was as follows: In the afternoon of the day of treatment, the five “Huashanshen” (about one or two more) that the patient would buy were fried into a bowl (about 600 ml) of ginseng and about half a bowl was served at about 10 o’clock (about 300). ML) for nourishing use, but shortly after serving dry mouth, oral bleeding, coma, convulsions, rushed to a hospital for treatment, due to Chinese herbal medicine poisoning, treatment was not transferred to the hospital affiliated hospital treatment. Physical examination: The patient’s face was pale purple, and both eyes were tightly closed. The two eyes showed dry powdery white pack secretions. The lips were dry, many chapped, and the mouth was covered with dry blood and dry powder. The consciousness was light coma. Occasionally agitation, from time to time proverbs, spit unclear, hard to stretch the upper limbs, teeth a little tight, forced to open a little, see the tongue dry, dry blood and white powder-like substances in four places; two sides of the pupil, etc. , about 5 mm in diameter, opposite to light reflection